WELLNESS SOURCE PSYCHOTHERAPY AND CONSULTING, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
NPI 1508794207
Social Worker - Clinical in Berkeley, CA

Active since May 12, 2026
1918 BONITA AVE 2ND FL, BERKELEY, CA 94704(510) 826-3150 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellness Source Psychotherapy And Consulting, A Licensed Clinical Social Worker Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLNESS SOURCE PSYCHOTHERAPY AND CONSULTING, A LICENSED CLINICAL SOCIAL WORKER CORPORATION (NPI 1508794207) is a healthcare organization registered as a clinical in Berkeley, California and active in the NPI registry since May 2026. The organization lists Omar Anthony Bocobo, President/owner, as its authorized official.

NPPES Registry Identity

NPI1508794207
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWELLNESS SOURCE PSYCHOTHERAPY AND CONSULTING, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Location Address1918 BONITA AVE 2ND FLBerkeley, CA 94704
Mailing Address2930 Domingo Ave # 1167Berkeley, CA 94705-2454 · (510) 826-3150
Organization SubpartNo
Authorized OfficialOmar Anthony BocoboPresident/owner · (510) 826-3150
Enumeration DateMay 12, 2026
NPPES CertifiedApril 3, 2026
NPI 1508794207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1918 BONITA AVE 2ND FL, Berkeley, CA 94704

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellness Source Psychotherapy And Consulting, A Licensed Clinical Social Worker Corporation's NPI number?

The NPI number for Wellness Source Psychotherapy And Consulting, A Licensed Clinical Social Worker Corporation is 1508794207. It was assigned to this organization in the NPPES registry on May 12, 2026.

Where is Wellness Source Psychotherapy And Consulting, A Licensed Clinical Social Worker Corporation located?

Wellness Source Psychotherapy And Consulting, A Licensed Clinical Social Worker Corporation is located at 1918 Bonita Ave 2nd Fl, Berkeley, CA 94704. The listed phone number is (510) 826-3150.

What is Wellness Source Psychotherapy And Consulting, A Licensed Clinical Social Worker Corporation's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Wellness Source Psychotherapy And Consulting, A Licensed Clinical Social Worker Corporation was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.